Bay Area Medical Center, Inc
Organization Active NPI Cardiovascular Disease Physician · Marinette, WI
NPI 1144591900 · NPPES record last updated Jan 25, 2012
Key facts
- NPI
- 1144591900
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Cardiovascular Disease Physician 207RC0000X
- License
- 155 (WI)
- Legal business name
- BAY AREA MEDICAL CENTER, INC
- Practice address
- 3100 Shore Dr
Marinette, WI 54143-4242 - Phone
- (715) 735-8067
- Fax
- (715) 732-8224
- NPI assigned
- Jan 25, 2012
- Organization subpart
- No
Authorized official
- Name
- Dawn M Laplant
- Title
- Clinic Business Services Manager
- Phone
- (715) 735-1722
Corporate family (same tax ID) 12
National Provider Directory
- Tax ID family
- Bay Area Med Ctr Crnas
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician |
207RC0000X | 155 | WI | Yes |
Addresses
Primary practice location
3100 Shore Dr
Marinette, WI 54143-4242
Mailing address
3100 Shore Dr
Marinette, WI 54143-4242
Phone (715) 735-1721
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 11001400 | Medicaid | WI |
Other names
- Bay Area Heart and Vascular Center
Other providers in Marinette, WI
- Bay Area Medical Center
- Bay Area Medical Center Inc
- Bay Area Medical Center Inc
- Bay Area Medical Center Inc
- Bay Area Medical Center, Inc
- Bay Area Medical Center, Inc
- Bay Area Medical Center, Inc
- Bay Area Medical Center, Inc
- Bay Area Medical Center, Inc
- Bay Area Medical Center, Inc
All providers in Marinette, WI · Cardiovascular Disease Physician in Wisconsin
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 25, 2012. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.